tci E/M Coding Alert - 2017 Issue 6

CCI: Master the Nuts and Bolts of CCI Edits to Excel in Your E/M Coding

Prep for CCI with tips from our pros. CMS created the Correct Coding Initiative (CCI) edits more than 20 years ago to promote correct coding and to reduce inaccurate payments. If you’ve ever felt overwhelmed while reading through the massive Excel sheets that house the CCI edits, you’ve come to the right place. Read on to learn how to correctly interpret CCI edit pairs and safeguard your E/M coding. Recognize PTP Edits for Accuracy In 1996, CMS implemented Procedure-to-Procedure (PTP) edits, which indicate the CPT® and HCPCS code pairs you should normally not report together. CMS updates...

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